Overview of Psychiatric Ethics IV: The Method of Casuistry

Author:

Robertson Michael1,Ryan Christopher2,Walter Garry3

Affiliation:

1. Director of Psychiatry, Royal Prince Alfred Hospital and Sydney South West Area Health Service (Eastern Sector), NSW, and Clinical Lecturer, Discipline of Psychological Medicine, University of Sydney, Sydney, NSW, Australia.

2. Director of Consultation Liaison Services. Westmead Hospital, Westmead, NSW, and Clinical Senior Lecturer, Discipline of Psychological Medicine, University of Sydney, Sydney, NSW, Australia.

3. Professor of Child and Adolescent Psychiatry, University of Sydney, and Area Clinical Director, Child and Adolescent Mental Health Services, Northern Sydney Central Coast Health, NSW, Australia.

Abstract

Objective: The aim of this paper is to describe the method of ethical analysis known as casuistry and consider its merits as a basis of ethical deliberation in psychiatry. Conclusions: Casuistry approximates the legal arguments of common law. It examines ethical dilemmas by adopting a taxonomic approach to ‘paradigm’ cases, using a technique akin to that of normative analogical reasoning. Casuistry offers a useful method in ethical reasoning through providing a practical means of evaluating the merits of a particular course of action in a particular clinical situation. As a method ethical moral reasoning in psychiatry, casuistry suffers from a paucity of paradigm cases and its failure to fully contextualize ethical dilemmas by relying on common morality theory as its basis.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health

Reference21 articles.

1. The Humble Case Report

2. 5. Jonsen A. Casuistry, In: Sugarman J, Sulmasy D. Methods in Medical Ethics. New York: Georgetown University Press, 2002; 104–125.

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